By Dave Weiman

It can be a bewildering array of facts and figures that an elder and their family face attempting to select a care provider. The following information may help in understanding the basic services provided by skilled nursing homes. Knowing what to expect can reduce some of the stress and uncertainty associated with the search.

Skilled nursing homes serve two primary functions for the elderly population. One is focused on short-term stays that concentrate on rehabilitation services required after surgery, treatment, or a prolonged illness. The second provides continuing care for a persistent illness or medical condition that cannot be successfully managed at home or in an assisted living setting.

A fulltime medical, administrative and support staff provide custodial and skilled nursing care for wound management, medication administration and mobility assistance. In addition, a complete range of rehabilitation practices and services are available for speech, physical and occupational therapies.

Many homes have pharmaceutical services, laboratory facilities, and radiology capabilities in-house. Residents are usually offered a broad range of opportunities to participate in social and educational events and activities, including onsite performances and trips to special destinations and events. Laundry and grooming services are generally available, if the resident wishes to use them. Transportation to medical appointments are either provided by the home’s own vehicle, or arrangements are made for a public or private transit service.

Regulations require that a “care plan” be developed shortly after a resident moves into a home. The resident, if capable, plus family members, and the staff will make an assessment of the resident’s current condition and create a plan of care for the next 90 days. The plan is reviewed at the end of that period, revised as necessary and extended for another 90 days and every 90 days thereafter.

Any agreement or contract the resident signs should include a clear explanation of the discharge policy, particularly with regard to involuntary discharge and the appeal process. Details of the services provided and the fee for each should be clearly indicated. It is also worthwhile to request details about the home’s personnel. The medical staff-to-resident ratio could have an influence on the care provided. The number of each type of credential or license might indicate the level of competency, as would the length of time in the profession.

The flexibility for meals is one of the indicators on how well a home gives residents the opportunity to make choices. If the meals are served over a reasonable period of time; if there is a choice of several entrées and a variety of side dishes; and if a resident can get something to eat between meals, then chances are the home also values and seeks out the residents’ opinion and choices on matters other than food.

Go to www.carecompasspeoria.org

for more suggestions and guidance for finding quality elder care.

Dave Weiman is the founder of Care Compass, a free online site to assist elders and their families find elder care in the Peoria area. Dave has been engaged for over 10 years in improving the quality of care, so elders can enjoy a life of quality.